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This comprehensive guide provides extensive clinical description of the Multisystemic Treatment (MST) approach for treating youths with serious antisocial behavior. A proven alternative to expensive and often ineffective out-of-home placement, MST is a family- and community-based treatment. It focuses on ameliorating the known determinants of antisocial behavior within the young person's family, peer, and school networks. Nine core principles comprise the parameters for the book's flexible, team-based intervention framework, which targets such areas as promoting family strengths and resiliencies, removing youths from antisocial peer groups, enhancing school performance, and developing indigenous social support systems. The book features a wealth of illustrative case material and is extensively documented with findings from controlled outcome studies.

"This well-written and informative book presents the theory, research, and practice of Multisystemic Treatment as it is applied to antisocial youths, their families, and their communities. Including numerous case illustrations of interventions with diverse families, the authors provide a rich and rewarding model of empirically supported, clinically sensitive practice at its best. Managed care companies and federal funding agencies should take note: This is a treatment approach whose time has come." --Thomas H. Ollendick, PhD, Department of Psychology, Virginia Tech

"Multisystemic Treatment (MST) is a family-focused, strengths-based approach that addresses client problems in their diverse social-ecological context. Bolstered by controlled outcome studies, MST has engendered greater optimism in our efforts to curtail antisocial behavior and related refractory conditions in youths. Delineating the key processes and procedures for implementing MST with this population, this practical book presents a useful conceptual framework, clear assessment and intervention guidelines, tips to enhance effectiveness in various settings, and helpful case examples. Clinicians will appreciate the authors' emphasis on tailoring the treatment to fit the problem, rather than attempting the reverse." --David J. Kolko, PhD, Western Psychiatric Institute and Clinic, University of Pittsburgh School of Medicine

"Multisystemic treatment has changed the face of intervention for antisocial behavior in young people, taking therapists out of their offices and inserting them into the settings where youngsters live their lives and go astray. The intuitive appeal of MST is matched by impressive scientific support. The treatment works--and with some of the most troubled and troubling youth in our society. This engaging book tells the story of MST: its theoretical and empirical foundation, basic principles, strategies for success in each of the youth's life contexts, and supporting evidence. The book is a rich resource for practitioners, researchers, and policy makers in mental health and juvenile justice. It is a theoretical statement, a how-to manual, an empirical report, and an inspiring story, all in a single volume." --John R. Weisz, PhD, Professor of Psychology, University of California, Los Angeles

"Every once in a while, there appears a breakthrough book in psychotherapy. This book is a monumental achievement, representing the productive interaction of solid clinical science and rich, creative, and practical clinical thinking and practice. The multisystemic model achieves impressive results in engagement and outcomes with challenging clinical problems. Importantly, these results have been produced in the context of well conceived and conducted clinical research over many years. With lucid and lively writing, the book brings to life the complexity and richness of a powerful, and effective treatment model. Simply put, it is the most authoritative, and best available book for clinicians working with this population." --Howard A. Liddle, EdD, Professor of Psychiatry and Director, Center for Research on Adolescent Drug Abuse, University of Miami School of Medicine

Scott W. Henggeler, PhD

Sonja K. Schoenwald, PhD

Charles M. Borduin, PhD, Department of Psychology, University of Missouri, Columbia

Melisa D. Rowland, MD

Phillippe B. Cunningham, PhD, Family Services Research Center, Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC